Leah K Koenig, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018831 Issued in CA

Practice address

1595 Soquel Dr Ste 140
Santa Cruz, CA 95065-1717

Phone

(831) 462-4444

Fax

(831) 462-4488

NPI assigned

Oct 15, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242

Merit-based Incentive Payment System (MIPS)

Final score

99.64 of 100Reported as apm

Quality

86.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dignity Health Medical Foundation

  dba Mercy Medical Group, a service of Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1700803418

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - Dominican, a service of Dignity Health

  • Multi-Specialty Clinic/Center
  • Santa Cruz, CA
  • NPI 1598961245

  Single Specialty

  NPD
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - North State, a service of Dignity Healt

  • Multi-Specialty Clinic/Center
  • Redding, CA
  • NPI 1912288432

  Single Specialty

  NPD
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - Dominican, a service of Dignity Health

  • Multi-Specialty Clinic/Center
  • Santa Cruz, CA
  • NPI 1649446352
  NPD (past)
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  dba HSHS St. John's Hospital

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1205818481
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba Dominican Hospital

  • General Acute Care Hospital
  • Santa Cruz, CA
  • NPI 1427181007
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692489600000",
    "number": "1548923659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR STE 140",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651717",
            "telephone_number": "831-462-4444",
            "fax_number": "831-462-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Ocean St",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604005",
            "country_code": "US",
            "telephone_number": "831-425-7991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "LEAH",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Knowles, OTR/L
• Victoria Eileen Knowles, AOD
• Mary Dupasquier Knudtson, NP
• Suzanne O Koebler, ASW
• Kenneth Lowell Koenig, M.D.
• Beverly Ann Koerner, LCS
• Russell Koester, L.AC., DIPL. O.M.
• Keren-Happuch Elizabeth Kohath, DO
• Kohut Medical a Professional Corporation
• Stacia Kokoletsos

• Family Nurse Practitioner in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.